Utilization Review Nurse Specialist
5 days ago
Job Summary:
LanceSoft is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will be responsible for reviewing and managing patient care in post-acute settings, ensuring that patients receive the necessary care and resources to achieve optimal health outcomes.
Key Responsibilities:
• Conduct thorough reviews of patient care plans to ensure alignment with InterQual criteria
• Collaborate with healthcare teams to develop and implement effective care plans
• Coordinate with payers and healthcare providers to ensure seamless transitions of care
• Utilize clinical knowledge and experience to identify opportunities for improvement in patient care
Requirements:
• Current unrestricted Michigan Registered Nurse license
• One year of experience in a health insurance plan or managed care environment
• Certification in Case Management preferred
• Above average computer skills
• Clinical experience in ICU, ER, or medical surgical unit preferred
What We Offer:
LanceSoft offers a dynamic and supportive work environment, competitive compensation, and opportunities for professional growth and development.
-
Utility Construction Management Associate
4 days ago
Center Line, Michigan, United States Railpros Full timeJob SummaryRailPros is seeking a skilled Utility Construction Management Associate to join our team. As a key member of our team, you will be responsible for observing utility installations on railroad property, supporting 3rd-party trenchless construction near live railroad tracks, and documenting pre and post-construction site conditions.Key...
-
Radiology Technologist Sr
2 weeks ago
Center Line, Michigan, United States Corewell Health Full timeDiagnostic Imaging SpecialistCorewell Health is seeking a skilled Diagnostic Imaging Specialist to join our team. As a key member of our imaging department, you will be responsible for performing accurate and efficient diagnostic exams in all areas of general radiology.Key Responsibilities:Perform quality diagnostic exams after verifying patient...
-
Automotive Collision Repair Specialist
4 weeks ago
Center Line, Michigan, United States Ed Rinke Chevrolet Buick GMC Full timePosition Overview:We are seeking a talented Automotive Collision Repair Specialist to become a part of our team at Ed Rinke Chevrolet Buick GMC. This role is based in Center Line, Michigan, and involves a variety of repair and restoration tasks for vehicles including cars, trucks, and SUVs. As an Automotive Collision Repair Specialist, your primary...
-
CRNA Anesthesia Specialist
4 days ago
Center Line, Michigan, United States Access Healthcare Staffing Solutions Full timeCRNA Anesthesia Specialist Job DescriptionWe are seeking a highly skilled and experienced Certified Registered Nurse Anesthetist (CRNA) to provide anesthesia care to patients undergoing surgical procedures.As a CRNA, you will collaborate with a multidisciplinary healthcare team to ensure patient safety throughout the perioperative period.Key...
-
Medical Equipment Sanitation Specialist
4 weeks ago
Center Line, Michigan, United States Binson's Home Health Care Centers Full timeAbout Us:Welcome to Binson's Home Health Care Centers, a prominent healthcare organization committed to delivering Superior Products, Exceptional Services, and Enhanced Lives to our communities. As a family-owned enterprise with a significant footprint in multiple states, we are in a constant state of growth and innovation. Join our team and contribute to...
-
Automated Welding Maintenance Specialist
4 weeks ago
Center Line, Michigan, United States Sodecia Full timeJob OverviewShift: 3rd Shift 10PM to 6AM, with potential for overtime.Work Environment: Unionized with excellent medical benefits.The Automated Welding Maintenance Specialist is responsible for the electro-mechanical upkeep and configuration of all automated welding and assembly machinery within the facility. This includes a focus on Robotics, PLC systems,...
-
Center Line, Michigan, United States Homeward Full timeMedication Management SpecialistWe are seeking a highly skilled Pharmacist to join our team at Homeward, a healthcare organization dedicated to delivering high-quality care to rural communities. As a Medication Management Specialist, you will play a critical role in ensuring the safe and effective use of medications for seniors in rural areas.Key...
-
Clinical Care Coordinator
4 days ago
Center Line, Michigan, United States LanceSoft Full timeJob DescriptionAt LanceSoft, we are seeking a highly skilled Registered Nurse to join our team as a Clinical Care Coordinator. In this role, you will be responsible for ensuring medical necessity for post-acute care services, including appeal requests initiated by providers, facilities, and members.You will coordinate care through the healthcare continuum,...
-
Nursing Care Specialist
2 weeks ago
Center Line, Michigan, United States Della Infotech Full timeDella Infotech is seeking a skilled Registered Nurse to join our team in Sault St. Marie, MI. As a key member of our nursing staff, you will provide exceptional care to adult, geriatric, pediatric, and adolescent patients/residents under the supervision of the Director of Nursing - Long Term Care. Your responsibilities will include assisting with total...
-
Hospice Nurse Specialist
2 weeks ago
Center Line, Michigan, United States Careline Health Group Full timeAbout the RoleWe are seeking a skilled and compassionate Hospice Registered Nurse to join our team at Careline Health Group. As a Hospice Nurse, you will play a vital role in providing high-quality care to terminally ill patients and their families in a home or facility setting.Key ResponsibilitiesConduct initial evaluations and re-evaluate patient nursing...
-
Radiology Technologist Sr
2 weeks ago
Center Line, Michigan, United States Corewell Health Full timeDiagnostic Imaging SpecialistCorewell Health is seeking a skilled Diagnostic Imaging Specialist to join our team. As a key member of our imaging services team, you will be responsible for performing accurate and efficient diagnostic exams in all areas of general radiology.Key Responsibilities:Perform quality diagnostic exams after verifying patient...
-
Nurse Care Specialist
1 week ago
Center Line, Michigan, United States AdvisaCare Full timeAdvisaCare is a fast-paced, established Home Health / Medicare Agency seeking FULL TIME or Part time Skilled Registered Nurses (RN) to provide care and service our patients in the Cheybogan County and surrounding Counties. Our Medicare Division is expanding and we desire your help. OASIS Experienced Registered Nurse preferred. LPN Skilled Visits also...
-
LPN - Long Term Care Specialist
6 days ago
Center Line, Michigan, United States i4 Search Group Full timeJob Title: LPN - Long Term CareWe are seeking a skilled Licensed Practical Nurse (LPN) to join our team at i4 Search Group. As a LPN, you will play a vital role in providing medical support to physicians, registered nurses, and patients in a long-term care setting.Responsibilities:Provide routine care and take vital information from patientsProvide...
-
Radiology Technologist Sr
2 weeks ago
Center Line, Michigan, United States Corewell Health Full timeDiagnostic Imaging SpecialistCorewell Health is seeking a skilled Diagnostic Imaging Specialist to join our team. As a key member of our imaging department, you will be responsible for performing accurate and efficient diagnostic exams in all areas of general radiology.Key Responsibilities:Perform quality diagnostic exams after verifying patient...
-
Radiology Technologist Sr
2 weeks ago
Center Line, Michigan, United States Corewell Health Full timeDiagnostic Imaging SpecialistCorewell Health is seeking a skilled Diagnostic Imaging Specialist to join our team. As a key member of our imaging department, you will be responsible for performing accurate and efficient diagnostic exams in all areas of general radiology.Key Responsibilities:Perform quality diagnostic exams after verifying patient...
-
Nurse Practitioner
2 days ago
Center Line, Michigan, United States Ascension Full timeJob SummaryWe are seeking a highly skilled Registered Nurse to join our team at Ascension Borgess Medical Center. As a critical care nurse, you will provide professional nursing care to patients in the STICU department, utilizing your expertise to promote, maintain, and restore health.ResponsibilitiesProvide direct patient care, assessing, diagnosing, and...
-
X-Ray Technologist
2 weeks ago
Center Line, Michigan, United States PSG Global Solutions Careers Full timeDiagnostic Imaging SpecialistWe are seeking a skilled Diagnostic Imaging Specialist to join our team. As a Diagnostic Imaging Specialist, you will be responsible for performing diagnostic imaging procedures on patients of all ages to assist in the diagnosis of patient illness.Responsibilities:Performing diagnostic imaging procedures on appropriate anatomical...
-
Radiologic Technologist
4 days ago
Center Line, Michigan, United States Della Infotech Full timeJob SummaryUnder the direction of the Director of Radiology, the Mammography Technologist will operate the mammography unit to produce high-quality images of the breasts for diagnostic purposes. The successful candidate will be responsible for explaining the procedure, positioning, and observing the patient during the scan. They will also be required to...
-
Licensed Practical Nurse
1 week ago
Center Line, Michigan, United States Father Murray, a Villa Center Full timeJob Summary:As a Licensed Practical Nurse (LPN) at Father Murray, a Villa Center, you will play a vital role in providing high-quality patient care to our residents. Under the supervision of the Unit Manager, Assistant Director of Nursing, and the Director of Nursing, you will assume responsibility and accountability for a group of residents/patients for a...
-
Hearing Care Specialist
3 weeks ago
Center Line, Michigan, United States HearingLife Full timeAudiology Externship OpportunityAbout HearingLifeHearingLife is a premier national hearing care company with a nationwide network of over 600 hearing care centers spanning 42 states. As part of the Demant Group, a global leader in hearing healthcare with over a century of expertise, HearingLife prides itself on innovation, care, and results-oriented...